Room Entry Inspection Report
Please complete this report to document the condition of the room at the time of entry.
Inspector's Full Name
*
First Name
Last Name
Date and Time of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Room Number or Location
*
Room Condition Checklist
*
Rows
Satisfactory
Needs Attention
Not Applicable
Walls
1
2
3
Flooring
4
5
6
Ceiling
7
8
9
Windows
10
11
12
Doors
13
14
15
Furniture
16
17
18
Lighting
19
20
21
HVAC/Heating/Cooling
22
23
24
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Additional Comments or Notes
Inspector's Signature
*
Submit Inspection Report
Submit Inspection Report
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